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ENT (Otolaryngology)

Introduction

The Oxford ENT programme provides a very high quality of training and is a top choice for trainees successful at national selection. We have a strong emphasis on teaching, and many of our trainees go on to take up consultant posts within the region. The deanery is relatively compact with all training units within an hour’s drive of the John Radcliffe Hospital in Oxford.

We currently have 16 registrars (national training numbers) within the region who meet regularly for teaching events and will get to know each other well. There is a mentor scheme in place so that new ST3s are paired to a more senior trainee who is available to give advice and support during the first year. There are plenty of opportunities for collaborative research and audit.

The deanery offers a full range of clinical, educational, and research opportunities. Within the region, we have adopted the latest technological advances in ENT including trans-oral robotic surgery, neuro-navigation for sinus surgery, and implant otology. Trainees can expect to gain exposure to and training in the following sub-specialty areas:

Otology & skull base:

  • General adult otology (hearing loss, tinnitus, chronic middle ear disease)
  • Balance disorders
  • Implant otology (bone anchored, cochlear, and middle ear implants)
  • Lateral skull base

 

Rhinology & Facial plastics:

  • General adult rhinology (rhinitis/sinusitis, nasal obstruction, epistaxis, facial pain)
  • Sino-nasal tumours
  • Skin cancer & facial plastics (BCC, SCC, septorhinoplasty)
  • Anterior skull base

 

Head & Neck:

  • Benign and malignant head & neck pathology (larynx, pharynx, salivary gland)
  • Thyroid disease 
  • Voice disorders

 

Paediatric ENT:

  • General paediatric ENT (adeno-tonsillar disorders, glue ear)
  • Congenital hearing loss
  • Paediatric airway disorders

 

Our deanery also provides unique within region fellowship opportunities for trainees towards the end of their training who wish to further develop their sub-specialty interests. We currently have rhinology and otology fellowship posts that are awarded to trainees within the region by competitive application. These fellowship years offer increased theatre time, exposure to specialist clinic sessions, and allow trainees to develop the skills required for independent practice in their chosen sub-specialty. The otology and rhinology fellows have timetabled activities in several training units across the region to make the most of all the opportunities available. There is also a head and neck fellowship that is open to applicants from outside the region.

Training Sites:

Trainees can expect to rotate through training units within the deanery on one year placements with the changeover date currently the first Wednesday of October. Most trainees will spend time in three or four district general hospitals, and have one or two years in Oxford (usually towards the end of training).

 

Employing Trust

Training sites

Educational lead

 

 

Oxford University Hospitals NHSFT

John Radcliffe Hospital – Oxford

Churchill Hospital – Oxford

Wycombe General Hospital – High Wycombe

Stoke Mandeville Hospital – Aylesbury*

Horton General Hospital – Banbury*

 

 

Mr. James Ramsden

Royal Berkshire NHSFT

Royal Berkshire Hospital – Reading

West Berkshire Community Hospital – Newbury*

Mr. Rogan Corbridge

Milton Keynes University Hospital NHSFT

Milton Keynes Hospital – Milton Keynes

Mr. Mark Draper

Northampton General Hospital NHST

Northampton General Hospital – Northampton

Mr. Paul Jervis

Great Western Hospital NHSFT

Great Western Hospital – Swindon

Mr. Deepak Gupta

Frimley Health NHSFT

Wexham Park Hospital – Slough

King Edward VII Hospital – Windsor*

Mr. Ram Moorthy

(Programme Director)

*Trainees may be expected to attend peripheral clinic sessions at these locations

 

Teaching

There is a co-ordinated programme of registrar teaching throughout the year which covers the ENT higher surgical training curriculum. Training days are held monthly and the venue rotates around the training centres in the deanery. Participation at training days is supported by all the training units and satisfactory attendance is a mandatory component of trainees’ requirements for ARCP.

The teaching programme includes several annual ‘special events’ for example:

  • Cadaveric temporal bone drilling:  A full day of temporal bone dissection which is the best type of simulation training available for otology. Trainees practice operations, develop drilling technique, and improve their knowledge of temporal bone anatomy. Three Oxford trainees have won the annual Royal Society of Medicine temporal bone drilling competition in the last seven years which demonstrates the strength of otology training in the deanery.
  • Cadaveric head & neck / sinus surgery:  Traditionally we have offered two days of cadaveric dissection (although the format is currently under review). Trainees perform head and neck dissection (parotidectomy, laryngectomy, neck dissection etc.) and practice functional endoscopic sinus surgery techniques.
  • Parker Prize:  In memory of Mr. Roger Parker who was a consultant in our region, there is an annual research meeting for registrars to present their work. This is a great opportunity to improve presentation skills, and there is also significant prize money for the winner.
  • Mock FRCS exam:  This one-day event closely replicates the format of the real FRCS exam and is excellent preparation for all registrars. There is a written paper in the morning, and a viva session in the afternoon with candidates rotating through the four sub-specialty topics.

 

Other training days focus on specific topics / themes and are organised by the registrars with teaching mostly delivered by ENT consultants and invited speakers from allied specialties.

In addition to deanery wide teaching, individual training hospitals will also offer additional teaching within their ENT departments. Registrars are encouraged to develop their teaching skills and participation, and there are many opportunities to do so.

 

ARCPs

The Annual Review of Competencies and Progress (ARCP) is currently held in September with the venue and exact date confirmed several months in advance.

Evidence is submitted electronically via the ISCP website and is reviewed by the ARCP panel prior to a feedback meeting which trainees attend.

The requirements for sign-off include:

  • Clinical Supervisor (CS) and Assigned Educational Supervisor (AES) reports
  • Completion of Multi-Source Feedback (MSF)
  • Completion of Workplace Based Assessments (WBAs) – Minimum 40 per year
  • Participation in clinical audit
  • Participation in teaching
  • Research presentations and publications
  • Satisfactory surgical logbook

 

Useful resources:

Association of Otolaryngologists in Training

ENTUK

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